Express Scripts Holding Company operates as a pharmacy benefit management (PBM) company in the United States. The company provides healthcare management and administration services on behalf of clients. Segments The company operates through two segments, PBM and Other Business Operations. PBM This segment primarily consists of the products and services, including clinical solutions to improve health outcomes, such as adherence, case coordination and personalized medicine; specialized pharmacy care provided through its disease specific Therapeutic Resource Center services; home delivery pharmacy services; specialty pharmacy, including the distribution of fertility pharmaceuticals, requiring special handling or packaging; retail network pharmacy administration; benefit design consultation; drug utilization review; drug formulary management; an array of Medicare, Medicaid and Public Exchange offerings to support clients’ benefits; administration of a group purchasing organization; and consumer health and drug information. Other Business Operations This segment primarily consists of the products and services, such as distribution of specialty pharmaceuticals and medical supplies to providers, clinics and hospitals; and consulting services, including design, implementation and project management, for pharmaceutical, biotechnology and device manufacturers to collect scientific evidence to guide the use of medicines. Products and Services PBM Services The company’s core PBM services involve management of prescription drug utilization to drive pharmaceutical care. The company focuses its solutions to enable better decisions in four interrelated areas, including benefit choices, drug choices, pharmacy choices and health choices. Clinical Solutions The company’s physician connectivity program facilitates well-informed prescribing by delivering benefit and formulary evaluation and medication history, both electronically and in real-time, as physicians write prescriptions. RationalMed evaluates medical, pharmacy and laboratory data to detect critical patient health and safety issues, which are then addressed through timely notification to physicians, pharmacies, patients and case managers. ScreenRx uses proprietary predictive models to detect patients at risk for nonadherence and proactively addresses the problem through interventions tailored specifically for that patient. ExpressAlliance offers patient care coordination services that enable client-authorized healthcare professionals to share a common view of a patient’s health record and coordinate patient outreach and counseling. Specialized Pharmacy Care At the center of the company’s condition-specific approach to care are Therapeutic Resource Center services, pharmacy practices that specialize in caring for members with complex conditions, including cardiovascular disease, diabetes, cancer, HIV, asthma, depression and other rare and specialty conditions. Therapeutic Resource Center services are designed to optimize the safe and appropriate dispensing of therapeutic agents, minimize waste and improve clinical and financial outcomes. Home Delivery Pharmacy Services The company dispenses prescription drugs from its four high-volume automated dispensing home delivery pharmacies and one non-automated dispensing home delivery pharmacy. In addition to the order processing that occurs at these home delivery pharmacies, the company operates various non-dispensing order processing facilities and patient contact centers. Specialty Pharmacy Services Specialty medications are used primarily for the treatment of complex diseases. These medications are characterized to include those with frequent dosing adjustments, intensive clinical monitoring, the need for patient training, specialized product administration requirements and/or those limited to specialty pharmacy networks by manufacturers. Through a combination of assets and capabilities, the company provides an enhanced level of care and therapy management for patients taking specialty medications, increased visibility and improved outcomes for payors, as well as custom programs fo
express scripts holding co
One Express Way
St. Louis, MO 63121
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